Pathways to care and preferences for improving tuberculosis services among tuberculosis patients in Zambia: A discrete choice experiment.
Andrew D KerkhoffMary KagujjeSarah NyanguKondwelani MateyoNsala SanjaseLophina ChilukutuIngrid Eshun-WilsonElvin H GengDiane V HavlirMonde MuyoyetaPublished in: PloS one (2021)
Prolonged intervals from TB symptom onset to treatment initiation were common, especially among PLHIV, and were driven by delayed health-seeking. Addressing known barriers to timely diagnosis and incorporating patients' preferences into TB services, including same-day TB test results, may facilitate earlier TB care engagement in high burden settings.
Keyphrases
- mycobacterium tuberculosis
- healthcare
- end stage renal disease
- ejection fraction
- mental health
- newly diagnosed
- prognostic factors
- emergency department
- public health
- quality improvement
- patient reported outcomes
- pain management
- decision making
- risk assessment
- chronic pain
- human immunodeficiency virus
- hiv infected
- smoking cessation
- replacement therapy